Lembaran kerja Perubatan-pembedahan: GI, perioperatif & onkologi dengan jawapan

Which signs suggest a deep vein thrombosis in the leg?

1. AItching between the toes of both feet
2. BA painless rash on both shins
3. CSwelling, pain, warmth and redness of one calf
4. DCold, pale feet on both sides with no pulse

What is an incisional hernia?

1. AA swelling in the groin present from birth
2. BA bulge of stomach through the diaphragm
3. CA bulge through a weakened surgical scar
4. DA pouch in the wall of the colon

Which non-invasive test is commonly used to detect Helicobacter pylori infection?

1. ALiver function tests
2. BSerum amylase test
3. CFaecal occult blood test
4. DUrea breath test

Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?

1. ANo food at all until the confusion settles
2. BOnly clear fluids for several weeks
3. CNormal protein and enough calories, with a late-evening snack
4. DA very low-protein diet for the rest of their life to lower ammonia

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

1. AThe medicine chart, including laxatives and antibiotics
2. BThe patient's mobility aids and walking distance
3. CThe patient's eye drops and skin creams
4. DThe colour of the feeding bag label

Mengapakah tablet lepas terubah suai atau bersalut enterik mungkin tidak berfungsi dengan baik bagi pesakit dengan ileostomi?

1. AStoma menyerap ubat terlalu cepat ke dalam darah
2. BTransit pantas bermakna ia mungkin lalu sebelum melepaskan ubat
3. CPesakit dengan ileostomi tidak boleh mengambil sebarang ubat oral
4. DEnzim ileostomi memusnahkan setiap jenis ubat oral

Seorang pesakit menjalani terapi luka tekanan negatif. Pam berbunyi amaran dan pembalut telah hilang kedapnya. Apakah tindakan yang paling sesuai?

1. AMenyumbat luka dengan kasa kering di atas span dan menampalnya dengan ketat
2. BMembiarkan span dalam luka tanpa sedutan selama beberapa hari sehingga semakan
3. CMemulihkan kedap; jika gagal tepat pada masanya, bertukar kepada pembalut lembap
4. DMenaikkan sedutan kepada tetapan maksimum untuk menarik kedap kembali

On day 2 of nasogastric feeding, a severely malnourished patient becomes weak and breathless with ankle swelling. Phosphate is 0.4 mmol/L. What is most likely?

1. ANormal adjustment to the new feed
2. BAn allergy to the feed formula
3. CToo little calorie intake
4. DRefeeding syndrome